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Related Experiment Videos

The cup is half full.

K S Ephgrave1, C Buchmiller, M P Jones

  • 1VAMC Iowa City, University of Iowa College of Medicine, 52246, USA.

American Journal of Surgery
|December 28, 1999
PubMed
Summary
This summary is machine-generated.

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Feeding tube procedures like gastrostomies have significant risks, but most patients benefit and return home. Careful consideration of patient factors is crucial for successful outcomes in feeding tube placement.

Area of Science:

  • Medical procedures
  • Surgical outcomes
  • Patient care

Background:

  • Clinical outcomes of feeding tube procedures are rarely studied due to patient comorbidities.
  • Most patients undergoing feeding tube placement have incurable conditions.

Purpose of the Study:

  • To evaluate clinical outcomes of gastrostomies and jejunostomies.
  • To identify risk factors and survival rates associated with feeding tube placement.

Main Methods:

  • Retrospective review of 104 gastrostomy and jejunostomy cases from 1992-1995.
  • Analysis of preoperative risk factors, postoperative morbidity, and long-term survival data.

Main Results:

  • In-hospital mortality was 11.4%, lower when feeding tubes were primary procedures (7.4%) vs. secondary (24%).

Related Experiment Videos

  • Pneumonia occurred in 24.7% of patients, linked to reflux and aspiration history.
  • Median survival was over 6 months; survival was negatively impacted by do-not-resuscitate status, metastatic or unresectable tumors, and dementia.

    • Conclusions:

    • Feeding enterostomies are associated with significant morbidity and mortality.
    • Despite risks, most patients experience benefits and return to their prior residence.
    • Patient selection and risk factor assessment are vital for optimizing outcomes.